Published online Jul 26, 2023. doi: 10.12998/wjcc.v11.i21.5073
Peer-review started: May 31, 2023
First decision: June 14, 2023
Revised: June 28, 2023
Accepted: July 7, 2023
Article in press: July 7, 2023
Published online: July 26, 2023
Processing time: 56 Days and 22.8 Hours
During cataract surgery anesthesia, the low pH of proparacaine can produce some stinging and complications such as corneal damage and poor wound healing that may arise from the use of additional drops intraoperative. Therefore, an alternative adjunct to anesthesia needs to be sought to improve anesthesia and reduce the amount of intraoperative proparacaine.
Search for a new anesthesia method for cataract surgery.
To investigate a more suitable anesthesia method for geriatric cataract phacoemulsification to provide better analgesia and improve clinical efficacy.
130 geriatric cataract patients who attended Hebei Eye Hospital from December 2020 to December 2022 were included in the study and divided into the proparacaine surface anesthesia group (SA group, 65 cases) and the compound acupuncture-medicine anesthesia group (CAMA group, 65 cases), among which, patients in CAMA group were given acupuncture analgesia on the basis of SA. The preoperative anxiety (SAS score, SAI score), intraoperative stress, vital signs, analgesia, and cooperation, as well as postoperative adverse events were compared between both groups.
The results showed that the anxiety of patients in CAMA group was more markedly relieved, and their Self-Rating Anxiety Scale score and state anxiety inventory score decreased more dramatically. During the operation, the secretion of E, NE, and Cor in CAMA group showed no marked change compared to the preoperative period, which was markedly lower than that in SA group, meanwhile, their heart rate, blood pressure, and respiratory rate were maintained more stable without significant fluctuations. In addition, the incidence of intraoperative pain and the number of additional anesthesia in CAMA group were markedly lower than those in SA group, and they could effectively avoid eye movements and eyelid squeezing movements to better cooperate with the surgeon in completing the surgery. Furthermore, CAMA could markedly reduce intraoperative adverse effects and had better safety.
Proparacaine SA combined with acupuncture analgesia can provide better analgesia with guaranteed safety.
Traditional medical acupuncture anaesthesia for cataract surgery provides good sedation and analgesia, which effectively enhances the anaesthetic effect of proparacaine and reduces adverse effects, thus showing great potential in geriatric cataract phacoemulsification.